Broadway Kids Camp 2021 Registration Form

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Thank you for registering for BKC (for children ages 7-12)! We can't wait for the time we'll spend together this summer.

If you are registering multiple children, please fill out a separate form for each child.

After payment is received, we will send a confirmation along with medical forms that must be completed by July 1.

If you have any questions, please email broadwaykidscamp@gmail.com and we will get back to you ASAP! Space is limited, so please note that payments are non-refundable after June 12th.

Stay well,
- The BKC team

Child's first name *

Child's last name *

Child's age on July 12th *

Child's school *

Child's gender/pronouns

Child's T-shirt size *

Child S

Child M

Child L

Child XL

Adult S

Adult M

Adult L

Adult XL

Primary family street address *

Primary family city *

Primary family state *

Primary family zip code *

Primary family home phone number *

Parent 1 first name *

Parent 1 last name *

Parent 1 email address *

Parent 1 cell phone number *

Parent 2 first name

Parent 2 last name

Parent 2 email address

Parent 2 cell phone number

For payment: *

I am mailing a $700 check to 11710 Clopper rd Gaithersburg, MD 20878 that is made out to Broadway Kids Camp.

I am sending $720.60 to PayPal account broadwaykidscamp@gmail.com. Please write your child's name in the "add a note section" as you submit your payment. An added cost is included because PayPal requires an additional fee.

Please leave questions, comments, or additional information about your child below.

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